Accountable Communities Initiative

Background Information

Accountable Communities (AC) are an important component of MaineCare's Value-Based Purchasing strategy, a multi-pronged initiative aimed at reducing costs while improving quality and outcomes for MaineCare members. Similar to Medicare's Accountable Care Organizations (ACOs), MaineCare's AC program contracts with groups of providers who volunteer to participate in the shared savings model. If an AC succeeds in reducing costs while meeting quality benchmarks, the AC shares in the savings it achieves for the MaineCare program in the form of a shared savings payment, which is tied to the amount of the AC's savings and its quality performance.

The program does not dictate how these organizations provide care. Instead, the Department provides ACs with monthly and quarterly patient cost and quality data, and the payment model creates incentives for ACs to make investments that improve cost and quality outcomes.

Accountible Community Partnerships

There are four ACs in the program:

  • Community Care Partnership of Maine, LLC.
  • Kennebec Regional Health Alliance
  • MaineHealth Accountable Care Organization
  • Beacon Health, LLC.

Year One Results

Savings across the program were 3.16%, totaling $5.41 million

Year one results (August 1, 2014 - July 31, 2015):

  • Savings across the program were 3.16% (see graphic), totaling $5.41 million.
  • Shared savings payments to ACs totaled $856,675.
  • Net savings to MaineCare was $4.56 million.
Accountable Community membership grows 72%
timeline showing AC Program Savings and Enrollment
*Year 1 enrollment is from Year 1 final attribution, Year 2 enrollment is taken from year 2 fourth quarterly report, year 3 enrollment taken from year 3 first quarterly report.
**Year 1 is 8/1/2014 - 7/31/2015; Year 2 is 8/1/2015 - 7/31/2016; Year 3 is 8/1/2016 - 7/31/2017.

Accountable Community Resources


Email the VBP Unit for questions about the initiative, upcoming events, and meetings.

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